Carniciu Anais L, Fazzari Melissa J, Tabibian Pauline, Batta Priti, Gentile Ronald C, Grendell James H, Braithwaite Collin E, Barzideh Nazanin
Department of Ophthalmology, University Hospitals Eye Institute, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA and Division of Ophthalmology, NYU Winthrop Hospital, Mineola, NY 11501, USA.
Department of Biostatistics, NYU Winthrop Hospital, Mineola, NY 11501, USA.
J Perioper Pract. 2017 Nov;27(11):247-253. doi: 10.1177/175045891702701102.
The aim of this study was to identify risk factors associated with perioperative corneal abrasion at a single hospital in Mineola, New York (United States). A chart review was conducted of patients with perioperative corneal abrasion following non-ocular surgery and age-matched controls between June 2011 and November 2013. An age-stratified logistic regression model evaluated the association between corneal abrasion and potentially predisposing variables. The adjusted odds of a corneal abrasion occurring were 4.6 times greater for patients having surgery for ≥ 3 hours (p=0.001) and 3.6 times greater for patients with pre-existing ocular disease (p=0.02). Gender, diabetes status, surgical procedure or position were not found to be associated with the occurrence of a corneal abrasion. Corneal abrasions were associated with longer procedures and history of pre-existing ocular disease. No significant association between body positioning or surgical site and perioperative corneal abrasion was found. The study concludes that a longer duration of surgical procedure and pre-existing ocular disease are risk factors for perioperative corneal abrasion.
本研究的目的是在美国纽约州米尼奥拉的一家医院中，确定与围手术期角膜擦伤相关的危险因素。对2011年6月至2013年11月期间非眼科手术后发生围手术期角膜擦伤的患者及年龄匹配的对照组进行了病历回顾。采用年龄分层的逻辑回归模型评估角膜擦伤与潜在诱发变量之间的关联。手术时长≥3小时的患者发生角膜擦伤的校正比值比高4.6倍（p = 0.001），既往有眼部疾病的患者高3.6倍（p = 0.02）。未发现性别、糖尿病状态、手术方式或体位与角膜擦伤的发生有关。角膜擦伤与手术时间较长及既往有眼部疾病史有关。未发现体位或手术部位与围手术期角膜擦伤之间存在显著关联。该研究得出结论，手术时间较长和既往有眼部疾病是围手术期角膜擦伤的危险因素。
